Arthrocentesis/aspiration/inj major joint/bursa without Ultrasound guidance (both sides) at Mercy Hospital of Folsom
1650 Creekside Dr, Folsom, CA · CommonSpirit Health · · NPI 1356389878
$451.63
Cash price Discounted cash price What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge. Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.
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What you pay up front if you don't use insurance.
$1,161.00
Gross charge Gross charge (chargemaster price) The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this. Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.
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The hospital's undiscounted list price — almost no one pays this.
$45.23 with Hill Physicians vs $12,800.00 with BCBS - Anthem — same scan, same building. Share
Negotiated rates by payer
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →Payer ?Payer The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on. Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509. Full explanation → |
Plan ?Plan The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates. Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible. Full explanation → |
Negotiated rate | vs. cash |
|---|---|---|---|
| Hill Physicians | Commercial|All Plans | $45.23 | ↓ -90% |
| United | Medicaid|> 21 | $52.54 | ↓ -88% |
| United | Medicaid|< 21 | $52.54 | ↓ -88% |
| Hill Physicians | Medicare|All Plans | $67.41 | ↓ -85% |
| Hill Physicians | Medicaid|All Plans | $91.12 | ↓ -80% |
| WCMG | Commercial|All Plans | $117.48 | ↓ -74% |
| BCBS - Anthem | Medicaid|All Plans | $124.79 | ↓ -72% |
| Molina | Medicaid|All Plans | $155.74 | ↓ -66% |
| California Health & Wellness | Medicaid|All Plans | $195.50 | ↓ -57% |
| Health Net | Medicaid|All Plans | $195.50 | ↓ -57% |
| Partnership Health Plan | Medicaid|All Plans | $282.43 | ↓ -37% |
| BCBS - Anthem | Medicare|All Other Plans | $365.80 | ↓ -19% |
| Western Health Advantage | Commercial|All Plans | $373.80 | ↓ -17% |
| Humana | Commercial|All Plans | $387.91 | ↓ -14% |
| Aetna | Medicare|All Plans | $387.91 | ↓ -14% |
| United | Medicare|All Plans | $387.91 | ↓ -14% |
| Kaiser | Medicare|All Plans | $387.91 | ↓ -14% |
| Blue Shield CA | Medicare|HMO | $387.91 | ↓ -14% |
| Blue Shield CA | Medicare|PPO | $387.91 | ↓ -14% |
| BCBS - Anthem | Medicare|Imperial | $399.55 | ↓ -12% |
| Kaiser | Medicaid|All Plans | $437.88 | ↓ -3% |
| Healthsmart | Commercial|All Plans | $801.00 | ↑ +77% |
| First Health | Commercial|All Plans | $801.00 | ↑ +77% |
| Kaiser | Commercial|All Plans | $843.72 | ↑ +87% |
| Sutter Health | Commercial|All Plans | $854.40 | ↑ +89% |
| Blue Shield CA | Commercial|ACO Trio | $856.00 | ↑ +90% |
| MultiPlan | Commercial|All Plans | $875.76 | ↑ +94% |
| United | Commercial|Non-Options PPO | $1,068.00 | ↑ +136% |
| Blue Shield CA | Commercial|Exchange | $1,077.00 | ↑ +138% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $1,090.00 | ↑ +141% |
| Blue Shield CA | Commercial|PPO Tandem | $1,576.00 | ↑ +249% |
| Blue Shield CA | Commercial|HMO | $1,598.00 | ↑ +254% |
| Blue Shield CA | Commercial|CalPers | $1,700.00 | ↑ +276% |
| Blue Shield CA | Commercial|All Other Plans | $1,877.00 | ↑ +316% |
| Health Net | Commercial|EPPO | $3,057.00 | ↑ +577% |
| Aetna | Commercial|HMO | $5,717.00 | ↑ +1166% |
| Aetna | Commercial|PPO | $5,717.00 | ↑ +1166% |
| Aetna | Commercial|All Other Plans | $5,717.00 | ↑ +1166% |
| Health Net | Commercial|FFS | $5,853.00 | ↑ +1196% |
| BCBS - Anthem | Commercial|Connection EPO | $7,314.00 | ↑ +1519% |
| BCBS - Anthem | Commercial|All Other Plans | $9,143.00 | ↑ +1924% |
| BCBS - Anthem | Commercial|MCS | $12,800.00 | ↑ +2734% |
Visitor-reported prices
Comments
Arthrocentesis/aspiration/inj major joint/bursa without Ultrasound guidance (both sides) at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $454.65 | $64.62 – $682.44 |
| Banner Lassen Medical Center | Susanville | $1,035.83 | $96.71 – $959.33 |
| Petaluma Valley Hospital | Petaluma | $1,317.84 | $413.65 – $1,687.00 |
| Arroyo Grande Hospital | Santa Maria | $752.00 | $52.54 – $994.70 |
| Mark Twain Medical Center | San Andreas | $1,094.24 | $31.05 – $117.60 |
| French Hospital | San Luis Obispo | $605.25 | $52.54 – $876.12 |
| Mercy Hospitals – Bakersfield | Bakersfield | $348.00 | $52.54 – $738.40 |
| Bakersfield Memorial Hospital | Bakersfield | $338.75 | $52.54 – $729.17 |